Ways of interacting: The standardization of communication in medical training

Abstract

This study explains the effects of medical institutionalization on the framing of doctor—patient interviews. We draw on Weberian, Habermasian, and Foucaultian perspectives to explain the ways that occupational rationalities are embodied in doctor—patient encounters, and how these rationalities structure and are structured by occupational conceptions of medical clients. We use the results of par ticipant-obser ver methods to demonstrate specific instances of the ways in which organization—client interactions are simulated in a standardized patient training programme. Finally, we discuss findings with respect to our theoretical perspectives, showing how each perspective contributes unique insights into understandings of organizations and the communities they serve.